Individual provider Active NPI

Mayra Jannette Pliego, RN, FNP-BC

  • Family Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1659704625
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP123704 Issued in TX
Practice address
10201 McPherson Rd Ste 300
Laredo, TX 78045-6880
Phone
(956) 795-1160
NPI assigned
Aug 14, 2013
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP123704 TX Primary

Addresses

Primary practice location

10201 McPherson Rd Ste 300
Laredo, TX 78045-6880

Mailing address

2438 Monarch Dr Ste a-125
Laredo, TX 78045-6600
Phone (956) 523-0966

Other practice location 1

2438 Monarch Dr
Suite A-125
Laredo, TX 78045-6598
Phone (956) 523-0966

Other identifiers 1

IdentifierTypeStateIssuer
J0215580OtherTXDPS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mayra.pliego.1@1902.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP123704TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Timberland Medical Group CurrentSince Jul 15, 2018 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Jan 1, 2019 Accepting new patients
Timberland Medical Group Family CurrentSince Jul 15, 2018 Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 7, 2020 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Jan 1, 2019 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 7, 2020 Accepting new patients

Locations

1401 Medical Pkwy
Bldg B
Cedar Park, TX 78613
Phone (512) 528-7480

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

10201 McPherson Rd
Ste 300
Laredo, TX 78045
Phone (956) 795-1160

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1659704625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2438 MONARCH DR STE A-125",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456600",
            "telephone_number": "956-523-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 MCPHERSON RD STE 300",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456880",
            "telephone_number": "956-795-1160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2438 Monarch Dr",
            "address_2": "Suite A-125",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780456598",
            "country_code": "US",
            "telephone_number": "956-523-0966",
            "fax_number": "956-523-0980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLIEGO",
        "first_name": "MAYRA",
        "middle_name": "JANNETTE",
        "credential": "RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-14",
        "last_updated": "2023-03-07",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP123704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "J0215580",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mayra.pliego.1@1902.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "10201 McPherson Rd Ste 300",
            "city": "Laredo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "780456880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.